Nonantibiotic strategies to prevent UTI in children

Practical advice for preventing urinary tract infection (UTI) in children includesNational Institute for Health and Care Excellence (NICE), October 2018:

• ensuring adequate fluid intake
• adequately managing constipation
• encouraging regular voiding of urine
• wiping from front to back to avoid the spread of faecal flora
• ensuring access to clean toilets to prevent delayed voiding of urine.

Cranberry products may reduce the recurrence of UTI in children without a neurogenic bladderWilliams, 2023. However, further research is required to confirm efficacy and determine the optimal product, dose and frequency.

Male circumcision may reduce childhood and lifetime risk of UTIMorris, 2017Morris, 2013, but risks of the procedure (eg those associated with anaesthesia, surgical complications) must also be considered.

At the time of writing, there is insufficient evidence to determine if probiotics prevent UTI in childrenSchwenger, 2015.